NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1245993765 |   |   |   | IMPACT MEDICAL LLC | 214 S DILLARD ST | WINTER GARDEN | FL | 347873523 |
1043629074 | HEALY | NICHOLAS | BENJAMIN |   | 214 S DILLARD ST | WINTER GARDEN | FL | 347873523 |